Integrative Ayurvedic Approach in the Management of Avabahuka (Frozen shoulder) : A case report

Abstract

Background

Avabahuka is one among the Vatavyadhi which affects the Amsa sandhi (Shoulder joint) and causes Shoshana (wasting) of the local binding structures (tendons, ligaments and muscles). This leads to Sankocha (constriction) of local Sira and leads to symptoms like Bahuprasapanditahara (inability to lift the upper limb) and Shoola (pain). Due to its clinical manifestation, it can be correlated with Frozen shoulder (Adhesive capsulitis) where there will be loss of range of movements and pain in the shoulder.

Clinical findings

 Here, a case report of 48 years old female patient with no comorbidities, complaining of severe pain in left shoulder region with stiffness and difficulty to raise the left hand since 1 month, managed with Marma chikitsa and Agnikarma followed by Nasya karma with Anutaila is being described.

Outcome

Within a week pain and stiffness was reduced with increased range of movements in her left upper limb leading to a better quality of life.

Conclusion

 The treatment approach in the management of Avabahuka has shown significant results in the presenting complaints of the patient within a period of 1 week. Here, Marma chikitsa helped in enhancing the flow of Prana, thereby balancing Vata dosha and also acts in Srotorodha Nivarana. Agnikarma helped to remove the Avarodha from the Srotas caused by vitiated Vata and Kapha. Nasya helps in Vatanulomana and does Srotoshodhana along with Shamana Oushadhis.